USE OF CONTINUOUS VENOVENOUS HEMODIAFILTRATION IN COVID-ASSOCIATED DIABETIC DEBUT
DOI:
https://doi.org/10.61651/rped.2026v78n2p32-36Keywords:
SARS-CoV-2, continuous renal replacement therapy, diabetes mellitus , pediatrics, acute kidney injuryAbstract
Type 1 diabetes mellitus is an autoimmune-mediated and environmentally triggered disease that leads to insulinopenia and hyperglycemia. Its fatal complications include diabetic ketoacidosis (DKA) and rhabdomyolysis. During the 2019 pandemic, SARS- CoV-2 infection presented severe forms associated with systemic hyperinflammatory states and may be linked to acute kidney injury (AKI). While continuous renal replacement therapy (CRRT) is utilized in critically ill patients with AKI, its use in children with DKA remains rare. We present the case of a patient diagnosed with type 1 diabetes mellitus and severe ketoacidosis associated with acute SARS-CoV-2 infection who required CRRT. The implementation of continuous renal replacement therapy, in conjunction with anti- inflammatory treatment and life support, enabled the reduction of inflammatory mediators, correction of fluid overload, and achievement of hemodynamic stability.
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Copyright (c) 2026 Mariana Kamariski, Luis Hernán LLano López, Pablo Julián, Ivana Marinelli

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